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GRANDY FAMILY MEDICINE PC
NPI 1609345412
Family Medicine in Jarvisburg, NC

Active since November 21, 2018
7429 CARATOKE HWY, JARVISBURG, NC 27947(252) 491-2111(833) 689-6830 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Apr 16, 2019, Mar 11, 2019 and 1 more (4 updates tracked since 2018).

About Grandy Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANDY FAMILY MEDICINE PC (NPI 1609345412) is a healthcare organization registered as a family medicine in Jarvisburg, North Carolina and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Winston Salem and lists Leslie M Mcpherson, Owner, as its authorized official.

NPPES Registry Identity

NPI1609345412
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANDY FAMILY MEDICINE PC
Location Address7429 CARATOKE HWYJarvisburg, NC 27947-9708
Mailing AddressPo Box 211Jarvisburg, NC 27947-0211 · (252) 491-2111 · Fax (833) 689-6836
Phone(252) 491-2111
Fax(833) 689-6830
Organization SubpartNo
Authorized OfficialLeslie M McphersonOwner · (252) 491-2111
Enumeration DateNovember 21, 2018
Last NPPES UpdateJuly 20, 20204 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1609345412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7429 CARATOKE HWY, Jarvisburg, NC 27947
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Secondary Practice Location 1

Location 14692 Brownsboro RdWinston Salem, NC 27106-3410 · Phone (336) 251-1114 · Fax (336) 251-1117

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN NICOLE CROCKER FNP-C
Nurse Practitioner (Family)
7429 CARATOKE HWY
JARVISBURG, NC 27947
Currituck County (252) 491-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grandy Family Medicine PC's NPI number?

The NPI number for Grandy Family Medicine PC is 1609345412. It was assigned to this organization in the NPPES registry on November 21, 2018.

Where is Grandy Family Medicine PC located?

Grandy Family Medicine PC is located at 7429 Caratoke Hwy, Jarvisburg, NC 27947. The listed phone number is (252) 491-2111.

What is Grandy Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grandy Family Medicine PC was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.